DR. Martin A Ruelas, D.M.D

NPI #1528161320 in Peoria, Illinois

Provider Information

NPI Number: 1528161320
Entity Type: Individual
Name: DR. Martin A Ruelas, D.M.D
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.M.D
Enumeration Date: Sep 7, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 10330 N JULIET CT
City: Peoria
State: Illinois
ZIP Code: 61615-1199
Phone: (309) 243-8455

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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